{"npi":"1104802743","type":"NPI-1","status":"active","name":{"display":"Mohamad Kadkhoda MD","other":[],"first":"MOHAMAD","last":"KADKHODA","credential":"MD"},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":false,"state":"PA","license":"MD034718L"},{"code":"208000000X","description":"Pediatrics","primary":true,"state":"PA","license":"MD 034718L"}]},"addresses":[{"purpose":"LOCATION","street_1":"1300 W LEHIGH AVE","city":"PHILADELPHIA","state":"PA","postal_code":"191322701","country_code":"US","street_2":"SUITE B","phone":"2152268800","fax":"2152268819"},{"purpose":"MAILING","street_1":"2450 W HUNTING PARK AVE FL 2","city":"PHILADELPHIA","state":"PA","postal_code":"191291302","country_code":"US","phone":"2159269022","fax":"2152268286"}],"license":{"state":"PA","number":"MD 034718L"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"000692373","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"10021A","state":"PA","issuer":"KMHP"},{"type_code":"01","label":"Other","value":"5987421","state":"PA","issuer":"AETNA PPO"},{"type_code":"01","label":"Other","value":"2098859","state":"PA","issuer":"AETNA HMO"},{"type_code":"01","label":"Other","value":"P00025017","state":"PA","issuer":"RR MEDICARE"},{"type_code":"01","label":"Other","value":"114698","state":"PA","issuer":"HIGHMARK BLUE SHIELD"},{"type_code":"01","label":"Other","value":"0055553000","state":"PA","issuer":"INDEPENDENCE BLUE CROSS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-12-15","last_updated":"2020-01-21","_meta":{"source":"NPPES","snapshot_date":"2020-01-21","doc_url":"https://findmynpi.com/api"}}